<form id="add-form" class="form-horizontal" role="form" data-toggle="validator" method="POST" action="">

    <div class="form-group">
        <label class="control-label col-xs-12 col-sm-2">{:__('User_id')}:</label>
        <div class="col-xs-12 col-sm-8">
            <input id="c-user_id" data-rule="required" data-source="user/user/index" data-field="nickname" class="form-control selectpage" name="row[user_id]" type="text" value="">
        </div>
    </div>
    <div class="form-group">
        <label class="control-label col-xs-12 col-sm-2">{:__('Recharge_id')}:</label>
        <div class="col-xs-12 col-sm-8">
            <input id="c-recharge_id" data-rule="required" data-source="recharge/index" class="form-control selectpage" name="row[recharge_id]" type="text" value="">
        </div>
    </div>
    <div class="form-group">
        <label class="control-label col-xs-12 col-sm-2">{:__('Fen_sn')}:</label>
        <div class="col-xs-12 col-sm-8">
            <input id="c-fen_sn" class="form-control" name="row[fen_sn]" type="text">
        </div>
    </div>
    <div class="form-group">
        <label class="control-label col-xs-12 col-sm-2">{:__('Fz_title')}:</label>
        <div class="col-xs-12 col-sm-8">
            <input id="c-fz_title" class="form-control" name="row[fz_title]" type="text">
        </div>
    </div>
    <div class="form-group">
        <label class="control-label col-xs-12 col-sm-2">{:__('Percent')}:</label>
        <div class="col-xs-12 col-sm-8">
            <input id="c-percent" class="form-control" step="0.01" name="row[percent]" type="number">
        </div>
    </div>
    <div class="form-group">
        <label class="control-label col-xs-12 col-sm-2">{:__('Fz_number')}:</label>
        <div class="col-xs-12 col-sm-8">
            <input id="c-fz_number" class="form-control" name="row[fz_number]" type="text">
        </div>
    </div>
    <div class="form-group">
        <label class="control-label col-xs-12 col-sm-2">{:__('Total_fee')}:</label>
        <div class="col-xs-12 col-sm-8">
            <input id="c-total_fee" data-rule="required" class="form-control" step="0.01" name="row[total_fee]" type="number" value="0.00">
        </div>
    </div>
    <div class="form-group">
        <label class="control-label col-xs-12 col-sm-2">{:__('Fen_fee')}:</label>
        <div class="col-xs-12 col-sm-8">
            <input id="c-fen_fee" data-rule="required" class="form-control" step="0.01" name="row[fen_fee]" type="number" value="0.00">
        </div>
    </div>
    <div class="form-group">
        <label class="control-label col-xs-12 col-sm-2">{:__('Mchid')}:</label>
        <div class="col-xs-12 col-sm-8">
            <input id="c-mchId" class="form-control" name="row[mchId]" type="text">
        </div>
    </div>
    <div class="form-group">
        <label class="control-label col-xs-12 col-sm-2">{:__('Chnltrxid')}:</label>
        <div class="col-xs-12 col-sm-8">
            <input id="c-chnltrxid" class="form-control" name="row[chnltrxid]" type="text">
        </div>
    </div>
    <div class="form-group">
        <label class="control-label col-xs-12 col-sm-2">{:__('Is_send')}:</label>
        <div class="col-xs-12 col-sm-8">
                        
            <select  id="c-is_send" class="form-control selectpicker" name="row[is_send]">
                {foreach name="isSendList" item="vo"}
                    <option value="{$key}" {in name="key" value="0"}selected{/in}>{$vo}</option>
                {/foreach}
            </select>

        </div>
    </div>
    <div class="form-group">
        <label class="control-label col-xs-12 col-sm-2">{:__('Req_json')}:</label>
        <div class="col-xs-12 col-sm-8">
            
            <dl class="fieldlist" data-name="row[req_json]">
                <dd>
                    <ins>{:__('Key')}</ins>
                    <ins>{:__('Value')}</ins>
                </dd>
                <dd><a href="javascript:;" class="btn btn-sm btn-success btn-append"><i class="fa fa-plus"></i> {:__('Append')}</a></dd>
                <textarea name="row[req_json]" class="form-control hide" cols="30" rows="5"></textarea>
            </dl>


        </div>
    </div>
    <div class="form-group">
        <label class="control-label col-xs-12 col-sm-2">{:__('Is_check')}:</label>
        <div class="col-xs-12 col-sm-8">
                        
            <select  id="c-is_check" class="form-control selectpicker" name="row[is_check]">
                {foreach name="isCheckList" item="vo"}
                    <option value="{$key}" {in name="key" value="0"}selected{/in}>{$vo}</option>
                {/foreach}
            </select>

        </div>
    </div>
    <div class="form-group">
        <label class="control-label col-xs-12 col-sm-2">{:__('Check_json')}:</label>
        <div class="col-xs-12 col-sm-8">
            
            <dl class="fieldlist" data-name="row[check_json]">
                <dd>
                    <ins>{:__('Key')}</ins>
                    <ins>{:__('Value')}</ins>
                </dd>
                <dd><a href="javascript:;" class="btn btn-sm btn-success btn-append"><i class="fa fa-plus"></i> {:__('Append')}</a></dd>
                <textarea name="row[check_json]" class="form-control hide" cols="30" rows="5"></textarea>
            </dl>


        </div>
    </div>
    <div class="form-group">
        <label class="control-label col-xs-12 col-sm-2">{:__('Is_success')}:</label>
        <div class="col-xs-12 col-sm-8">
                        
            <select  id="c-is_success" class="form-control selectpicker" name="row[is_success]">
                {foreach name="isSuccessList" item="vo"}
                    <option value="{$key}" {in name="key" value="0"}selected{/in}>{$vo}</option>
                {/foreach}
            </select>

        </div>
    </div>
    <div class="form-group layer-footer">
        <label class="control-label col-xs-12 col-sm-2"></label>
        <div class="col-xs-12 col-sm-8">
            <button type="submit" class="btn btn-primary btn-embossed disabled">{:__('OK')}</button>
            <button type="reset" class="btn btn-default btn-embossed">{:__('Reset')}</button>
        </div>
    </div>
</form>
